摘要
OBJECTIVE:To establish a quantification model of Traditional Chinese Medicine(TCM)syndromes by sampling patients undergoing idiopathic precocious puberty(IPP)and early puberty.METHODS:A questionnaire for classifying and quantifying TCM syndromes was designed and administered.All the results were analyzed;the relationship between 3 types of syndrome and 47symptoms were summated.Meanwhile,the frequency distribution of each symptom or sign was aggregated.Fuzzy mathematics was used to develop a quantification model ofTCM syndromes.RESULTS:We found that precocious puberty had 3types of syndrome,including hyperactivity of fire due to Yin deficiency(Syndrome I),depressed liver Qi transforming into fire(Syndrome II),and end retention of damp heat(Syndrome III).In the IPP group,Syndrome I was the most common principal syndrome(100%).Forty-six patients(43.81%)werediagnosed with Syndrome I accompanied by Syndrome II and 11(10.48%)were diagnosed with Syndrome I accompanied by Syndrome III.In the early puberty group,Syndrome I was also the main syndrome(98.39%).The degrees of most symptoms were mild to moderate.Reddened tongue was the most common tongue manifestation(62.86%prevalence)in the IPP group.The most common pulse manifestations were slippery pulse,thread pulse,and taut pulse.The Asymptotic Normalization Coefficient(ANC)method was used to quantify the TCM syndromes in 167 cases.Diagnostic accuracy rate reached 91%,comparable to expert diagnosis.CONCLUSION:We find that there are 3 types of syndrome in the IPP group and in the early puberty group.Syndrome I(hyperactivity of fire due to Yin deficiency)is the main syndrome in the two groups.ANC may be an appropriate for quantification model ofTCM syndromes.
OBJECTIVE: To establish a quantification model of Traditional Chinese Medicine(TCM) syndromes by sampling patients undergoing idiopathic precocious puberty(IPP) and early puberty.METHODS: A questionnaire for classifying and quantifying TCM syndromes was designed and administered. All the results were analyzed; the relationship between 3 types of syndrome and 47symptoms were summated. Meanwhile, the frequency distribution of each symptom or sign was aggregated. Fuzzy mathematics was used to develop a quantification model ofTCM syndromes.RESULTS: We found that precocious puberty had 3types of syndrome, including hyperactivity of fire due to Yin deficiency(Syndrome I), depressed liver Qi transforming into fire(Syndrome II), and end retention of damp heat(Syndrome III). In the IPP group, Syndrome I was the most common principal syndrome(100%). Forty-six patients(43.81%) werediagnosed with Syndrome I accompanied by Syndrome II and 11(10.48%) were diagnosed with Syndrome I accompanied by Syndrome III. In the early puberty group, Syndrome I was also the main syndrome(98.39%). The degrees of most symptoms were mild to moderate. Reddened tongue was the most common tongue manifestation(62.86% prevalence) in the IPP group. The most common pulse manifestations were slippery pulse, thread pulse, and taut pulse. The Asymptotic Normalization Coefficient(ANC) method was used to quantify the TCM syndromes in 167 cases. Diagnostic accuracy rate reached 91%, comparable to expert diagnosis.CONCLUSION: We find that there are 3 types of syndrome in the IPP group and in the early puberty group. Syndrome I(hyperactivity of fire due to Yin deficiency) is the main syndrome in the two groups. ANC may be an appropriate for quantification model ofTCM syndromes.
基金
Supported by the National Natural Science Foundation of China(No.81072841)
the Shanghai Science and Technology Research Grant Program(No.09dZ1971600)
State Key Clinical Department of TCM pediatrics
关键词
中国传统医学
综合征
性早熟
定量分析模型
量化模型
中医证候
儿童
专家诊断
Puberty precocious Medicine Chinese traditional Symptom complex Fuzzy mathematics Cluster analysis Asymptotic normalization coefficient